Evidence map›Paper›PMID 27785608›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2017

Psychological morbidity and health-related quality of life after injury: multicentre cohort study.

D Kendrick, B Kelllezi, C Coupland, A Maula, K Beckett, R Morriss, S Joseph, J Barnes, J Sleney, N Christie

Abstract readMulticenter Study
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Unintentional Injury Burden in Hong Kong: Results from a Representative Population-Based Survey.International journal of environmental research and public health · 2021
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  18. A preliminary report on psychiatric impairments and quality of life among Kaohsiung gas explosion victims 6 months after the event.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

D KendrickDivision of Primary Care, University of Nottingham, University Park, Nottingham, NG7 2RD, UK. denise.kendrick@nottingham.ac.uk.ORCID 0000-0003-3603-6542
B KellleziDivision of Psychology, Nottingham Trent University, Nottingham, NG1 4BU, UK.
C CouplandDivision of Primary Care, University of Nottingham, University Park, Nottingham, NG7 2RD, UK.
A MaulaDivision of Primary Care, University of Nottingham, University Park, Nottingham, NG7 2RD, UK.
K BeckettResearch and Innovation, University of the West of England, Bristol, BS2 8AE, UK.
R MorrissDivision of Psychiatry and Applied Psychology, University of Nottingham, Nottingham, NG7 2TU, UK.
S JosephSchool of Education, University of Nottingham, Nottingham, NG8 1BB, UK.
J BarnesLoughborough Design School, Loughborough University, Loughborough, LE11 3TU, UK.
J SleneyDepartment of Sociology, University of Surrey, Guildford, GU2 7XH, UK.
N ChristieCentre for Transport Studies, University College London, London, WC1E 6BT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo demonstrate the impact of psychological morbidity 1 month post-injury on subsequent post-injury quality of life (HRQoL) in a general injury population in the UK to inform development of trauma care and rehabilitation services.

methodsMulticentre cohort study of 16-70-year-olds admitted to 4 UK hospitals following injury. Psychological morbidity and HRQoL (EQ-5D-3L) were measured at recruitment and 1, 2, 4 and 12 months post-injury. A reduction in EQ-5D compared to retrospectively assessed pre-injury levels of at least 0.074 was taken as the minimal important difference (MID). Multilevel logistic regression explored relationships between psychological morbidity 1 month post-injury and MID in HRQoL over the 12 months after injury.

resultsA total of 668 adults participated. Follow-up rates were 77% (1 month) and 63% (12 months). Substantial reductions in HRQoL were seen; 93% reported a MID at 1 month and 58% at 12 months. Problems with pain, mobility and usual activities were commonly reported at each time point. Depression and anxiety scores 1 month post-injury were independently associated with subsequent MID in HRQoL. The relationship between depression and HRQoL was partly explained by anxiety and to a lesser extent by pain and social functioning. The relationship between anxiety and HRQoL was not explained by factors measured in our study.

conclusionsHospitalised injuries result in substantial reductions in HRQoL up to 12 months later. Depression and anxiety early in the recovery period are independently associated with lower HRQoL. Identifying and managing these problems, ensuring adequate pain control and facilitating social functioning are key elements in improving HRQoL post-injury.

Indexed as

Sickness Impact ProfileAdolescentAdultAgedAnxietyCohort StudiesDepressionFemaleHumansMaleMiddle AgedMorbidityWounds and InjuriesYoung AdultAnxietyCohort studyDepressionQuality of lifeUnintentional injury

Identifiers

PMID27785608
PMCPMC5376395

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.